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Adoption Form
This application and information contained herein are the property of PURRfect Partners.
PERSONAL INFORMATION
Name of cat(s) you
would like to adopt:
Name*:
Occupation:
Street Address*:
City/State/Zip*:
Phone: home*:
work:
cell:
E-mail*:
Spouse
Name:
Occupation:
Phone:
Roommate
Name:
Occupation:
Phone:
Number of residents living inthe household with you:
Adults:
Children:
Children’s Ages:
*These Fields Are Required
HOUSING INFORMATION
Do you:
Own
Rent
Live with family/friends
Is it a:
House
Condo/Townhouse
Mobile Home
Apartment
Other
If renting, what is the number of pets allowed by Landlord/HOAA:
Landlord’s Name/Phone Number:
Do you expect to
move in next 6 months:
YES
NO
Where?:
Are petsallowed?:
YES
NO
TO ENSURE THAT WE HAVE THE PURRFECT MATCH FOR YOU, PLEASE
COMPLETE THE QUESTIONS AS ACCURATELY AS POSSIBLE
Why are you adopting a cat?
If you have children, have they been around cats before?
YES
NO
When?
Have all the adults in the household agreed to adopt a cat?
YES
NO
Some Undecided
Who will be the primary care giver for your cat?
Have you owned cats before?
YES
NO
When?
What happened to them? (be specific):
Do you have household members who are allergic to cats?
YES
NO
If Yes, who?
Do you have a dog/cat door?
YES
NO
If Yes, where?
Do you have screens on your windows and doors?
YES
NO
What percentage of time will the cat spend:
Outdoors
%
Indoors
%
Will cat have access to:
balcony
Patio
Garage
Yard/Garden
None of these
If you move in the future, will the cat most likely be:
Indoor/Outdoor
Outdoor
Indoor
How many hours of the day will the cat be left alone?
What is the noise/activity level in your house?
Low
Medium
High
What amount of time do you think is reasonable for your new cat toadjust to you and your new home?
Where will your cat sleep?
Where will the litter box be located?
Who is responsible for cleaning the litter box?
How often will it be cleaned?
Please list all the pets you currently have and their ages:
Are your current cats declawed?
Yes
No
Do you plan to declaw this cat?
Yes
No
If you have dogs, have they been around cats before?
Yes
No
Are all the pets in the house spayed or neutered?
Yes
No
Have your cats been tested for feline leukemia and feline AIDS?
Yes
No
If you can no longer care for the cat, what would you do?
What would you do if:
The cat stopped using the litter box?
The cat clawed your furniture?
The cat kept trying to get outside?
Would you seek the help of PURRfect
Partners if these problems occur?
Yes
No
Do you have time or are you willing to work with a cat to address any behavioral ormedical challenges that may occur?
Yes
No
Under what circumstances would you not be able to keep this cat? (check all that apply)
Pregnancy/Baby
Divorce/Separation
Housemember is allergic
Job Change/Loss
Scratches Carpet/Furniture
Needs too much attention
Behavioral Problems
Expensive Vet Bills
Needs special diet/medicine
Conflict with other pets
Sprays/Litter box problem
Needs daily treatments/meds
Pet becomes disabled
Other (please describe below)
If you have to give up your cat for any of these reasons, what will you do?
Who is your veterinarian?
Name:
City:
How did you hear about us?
Internet/Petfinder.com
Daily Breeze
Flier
Friend/Referral
Sign in Store
Other (please describe below)
PURRfect Partners is searching for “Forever Homes” for our cats. You are making a major, lifetime commitment and may have to adjust your life style. Cats need affection
and attention, can live for over 20 years and may require expensive medical care during their life. Thousands of cats are killed at animal shelters each year because
their guardians did not plan for the future.
Completion of the adoption application does not guarantee adoption. PURRfect Partners requires a home visit. We may decline to adopt based on this application and/or the home visit.
We reserve the right to refuse adoption to anyone for any reason.
I agree that I will not hold PURRfect
Partners or any of its volunteers responsible for any
damage or injury that may occur as a result of handling the cats. I agree to handle the cats at my own risk.
I further agree that all information provided on this adoption application is true and correct. False information
will result in nullification of the adoption. If you agree to these terms please check “Yes”. If you do not agree please check “No”.
Yes
No
CLICKING ON THE “SUBMIT QUERY” BUTTON WILL
SEND YOUR APPLICATION TO PURRFECT PARTNERS. IF YOU WISH TO CLEAR ALL FIELDS AND START OVER, PLEASE CLICK THE “RESET” BUTTON.